Radiologic Technology BAS Program Application

Name:

First NameLast Name

NSHE ID (Student ID Number):

Date of Birth:

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:

Please enter a valid phone number.Format: 000-000-0000.

Email Address:

example@mail.tmcc.edu

Nevada Resident:

Upload Active ARRT or Equivalent Registry:

Please submit PDF or Word files only.

Upload Active ARRT or Equivalent Registry Status:

Unofficial Transcripts

Upload your unofficial transcripts from all coursework completed, including coursework you completed at TMCC. Note that in order to be processed, your official transcripts must be submitted directly to TMCC's Admissions and Records Office in a timely manner.

Upload Unofficial Transcripts:

Please submit PDF or Word files only.

Upload Unofficial Transcripts Status:

Upload Any Additional Materials:

Upload Any Additional Materials Status:

Certification and Acknowledgment

By pressing submit, I certify that I have personally read and understand the admission criteria and procedures for the Radiologic Technology Program at TMCC. I accept full responsibility for requesting and submitting all required official documents.

I also understand that it is my responsibility to submit official transcripts to TMCC and have them evaluated by the TMCC Admissions and Records Office.

Please verify that you are human:

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